Urine is not sterile, not even in the bladder,[26][27] contrary to longstanding popular belief. This opened a new area of study: the urinary microbiome. In the urethra, epithelial cells lining the urethra are colonized by facultatively anaerobic Gram-negative rod and cocci bacteria.[28] One study conducted in Nigeria isolated a total of 77 distinct bacterial strains from 100 healthy children (ages 5–11) as well as 39 strains from 33 cow urine samples, a considerable amount being pathogens.